A 46-year-old Hispanic woman with a 4-month history of renal transplant was evaluated for the development of facial lesions that had been present for several weeks. The condition gradually spread to her neck, chest, back, and upper and lower extremities. The patient complained of increasing itching and discomfort as the condition progressed.

Report of a Case

Multiple therapies, including systemic and topical antibiotics, topical steroids and retinoids, antihistamines, and other therapies failed to alleviate the condition. The patient was taking multiple medications at the time of presentation; the transplant service involved in her care had recommended therapy with valganciclovir, 450 mg/d (owing to the presence of antibodies to cytomegalovirus), but the patient had never started taking the medication.